| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,497 |
2,848 |
$162K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,278 |
593 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,515 |
1,404 |
$76K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,018 |
694 |
$56K |
| 76830 |
Ultrasound, transvaginal |
933 |
846 |
$56K |
| 76820 |
|
1,106 |
496 |
$51K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
551 |
447 |
$34K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
168 |
140 |
$24K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,050 |
1,015 |
$23K |
| 81025 |
|
2,626 |
2,416 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
158 |
146 |
$10K |
| 83986 |
|
2,816 |
2,549 |
$10K |
| 85013 |
|
1,332 |
1,278 |
$5K |
| 76813 |
|
67 |
62 |
$4K |
| 81015 |
|
1,348 |
1,230 |
$4K |
| 81002 |
|
1,473 |
1,414 |
$4K |
| 59025 |
Fetal non-stress test |
169 |
48 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
47 |
41 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
149 |
146 |
$2K |
| 59430 |
|
29 |
25 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
121 |
108 |
$1K |
| 82274 |
|
44 |
42 |
$315.43 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$285.97 |
| 99080 |
|
125 |
99 |
$0.00 |